Your Name (optional):
Your Email:	* required
Date of Service:	* required
Spa Technician's Name and/or Service:	* required
How did you hear about Private Spa?
Was this your first visit to Private Spa?	Yes No
When scheduling your appointment, were you made aware of any specials we were running?	Yes No
Were you warmly welcomed by the front desk staff when you arrived at Private Spa?	Yes No
Did our front desk staff offer you a drink and direct you to our lounge?	Yes No
Did our front desk staff show you where to browse our retail products while you waited for your spa technician?	Yes No
Did you find Private Spa in general and your treatment room to be clean, sanitary and to your satisfaction?	Yes No
Did you find your Spa technician to be neat and professional in appearance?	Yes No
Did your Spa technician conduct a consultation prior to the start of your service?	Yes No
Did your Spa technician suggest your treatment regimen with customized product selection?	Yes No
Did you choose to purchase any of the suggested products?	Yes No
Did the front desk coordinator help accomodate in the scheduling of your future appointments?	Yes No
How soon do you plan to return to Private Spa in the future?	Within 1 month Within 2-3 Months Within 3-6 months Within 6-12 months Will not be returning
Rate each of the following:
Noise Level	Unacceptable Poor Fair Good Excellent
Lounge/ Waiting Area	Unacceptable Poor Fair Good Excellent
Music	Unacceptable Poor Fair Good Excellent
Affordability	Unacceptable Poor Fair Good Excellent
Products used in services	Unacceptable Poor Fair Good Excellent
Spa Technician's knowledge of field	Unacceptable Poor Fair Good Excellent
Professionalism of Front Desk Staff	Unacceptable Poor Fair Good Excellent
Your overall Private Spa Experience	Unacceptable Poor Fair Good Excellent
Enter any additional comments, suggestions or further clarification of any of the above questions here.